Individual
DR. DAMIEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
17950 N 68TH ST APT 2065, PHOENIX, AZ 85054-4192
(845) 480-2482
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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